Individual
MAYANTOINETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-0100
Mailing address
823 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-0100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
908098
MS
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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